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Athena Fried
Military Health Care Provider in New London, Connecticut
NPI 1285732057

Athena Fried is a Military Health Care Provider based in Oakdale, CT. Athena Fried practices in New London, CT. The NPI Number for Athena Fried is 1285732057 and holds a License No. (Connecticut).

The current practice location address for Athena Fried is 15 Mohegan Ave, New London, CT and can be reached out via phone at 860-444-8402.

Location: 15 Mohegan Ave, New London, CT, 06370-1108
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Provider Profile Details
NPI Number
1285732057
Provider Name
Athena Fried
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Mohegan Ave, New London, CT, 06370-1108
Phone Number
860-444-8402
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15 Mohegan Ave
City
State
Zip
06320-8100
Phone Number
860-444-8402
Fax Number
person
Provider Business Mailing Address Details
Address
15 Mohegan Ave
City
State
Zip
06320-8100
Phone Number
860-444-8402
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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